Wufoo

Title of Event *
Date of Event *
Name of Event Location (e.g., Jones Middle School) *
Event Location Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Time *
Event Description - What is the primary purpose of the event and what is the "Discovery" connection? *
Estimated number of attendees *
Funds Requested - Be sure to itemize all costs (food, fees, etc.)

Some Catering Guidelines:
1. Please keep your catering costs at $10 per person or less
2. Ensure that the caterer will accept credit card payment over the phone
3. Finalize catering plans AFTER your event has been approved

Note: We encourage LCs to host events in places where the facility is free. We do not typically pay for facility rentals unless the facility itself is essential to the day (e.g., DEN Day at the Museum). *
Materials: Pending availability we will send notebooks, pens, and other goodies for your event if you'd like. *
Yes, please. Not this time.
Special Materials: If you'd like a welcome banner for your event or the Roaming Gnome on the Range and promise to ship them back, we'll send them and return shipping materials.
I'd like a welcome banner. I promise to send it back. I want the Gnome. I promise to send him back.
LC Event Host * First Last
LC Event Host email address *
Phone * ### - ### - ####
Address (to where would you like materials shipped?) *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Please provide a street address. We cannot ship to PO boxes.
Do Not Fill This Out